Home blood pressure telemonitoring for improving blood pressure control in middle‐aged and elderly patients with hypertension
Abstract The blood pressure (BP) control rate among treated hypertensives in China remains low at 37.5%. The relationship between home blood pressure telemonitoring (HBPT) and BP control is controversial. The authors aimed to investigate the relationship between HBPT and BP control in middle‐aged an...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2021-09-01
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| Series: | The Journal of Clinical Hypertension |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/jch.14341 |
| _version_ | 1797645146374799360 |
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| author | Jianwei Yue Xiaomin Yang Bin Wang Han Hu Haiming Fu Yuxia Gao Gang Sun |
| author_facet | Jianwei Yue Xiaomin Yang Bin Wang Han Hu Haiming Fu Yuxia Gao Gang Sun |
| author_sort | Jianwei Yue |
| collection | DOAJ |
| description | Abstract The blood pressure (BP) control rate among treated hypertensives in China remains low at 37.5%. The relationship between home blood pressure telemonitoring (HBPT) and BP control is controversial. The authors aimed to investigate the relationship between HBPT and BP control in middle‐aged and elderly hypertensives. In total, 252 hypertension patients aged between 60 and 79 years were enrolled. The patients were given either HBPT through interactive platforms between physicians and patients (telemonitoring group, n = 126) or conventional management (routine management group, n = 126). All patients were followed‐up for 15 months. BP control was defined as home systolic blood pressure < 135 mm Hg and home diastolic blood pressure < 85 mm Hg. At baseline, there were no significant differences in the baseline BP control rate (p = .083). However, after 15 months, the BP control rate improved in both groups, and the telemonitoring group (71.3%) had a significantly higher BP control than the routine management group (49.8%) (p < .001). The change of BP control rate from baseline in the routine management group increased by 26.1%, and that of the telemonitoring group increased by 35.4%. The results of the fully adjusted binary logistic regression showed that HBPT was positively associated with BP control after adjusting for confounders (OR = 4.15, 95% CI 2.05–8.39). Similar results were observed after 3, 9, and 12 months. The association of HBPT with BP control was similar in subgroups. In conclusions, HBPT is recommended for BP control in middle‐aged and elderly hypertensives in the community setting. |
| first_indexed | 2024-03-11T14:41:54Z |
| format | Article |
| id | doaj.art-2aa5b1b1b5c74b7182264f2d75099ba6 |
| institution | Directory Open Access Journal |
| issn | 1524-6175 1751-7176 |
| language | English |
| last_indexed | 2024-03-11T14:41:54Z |
| publishDate | 2021-09-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Journal of Clinical Hypertension |
| spelling | doaj.art-2aa5b1b1b5c74b7182264f2d75099ba62023-10-30T13:30:47ZengWileyThe Journal of Clinical Hypertension1524-61751751-71762021-09-012391744175110.1111/jch.14341Home blood pressure telemonitoring for improving blood pressure control in middle‐aged and elderly patients with hypertensionJianwei Yue0Xiaomin Yang1Bin Wang2Han Hu3Haiming Fu4Yuxia Gao5Gang Sun6Department of Cardiology Tianjin Medical University General Hospital Tianjin P.R. ChinaResearch Institute of Hypertension Department of Cardiovascular Medicine The Second Affiliated Hospital of Baotou Medical College Baotou Inner Mongolia P.R. ChinaDepartment of Cardiology Tianjin Medical University General Hospital Tianjin P.R. ChinaDepartment of Cardiology Tianjin Medical University General Hospital Tianjin P.R. ChinaDepartment of Clinical Laboratory Baotou Maternal and Child Health Center, Baotou, Inner Mongolia Autonomous Region P.R. ChinaDepartment of Cardiology Tianjin Medical University General Hospital Tianjin P.R. ChinaResearch Institute of Hypertension Department of Cardiovascular Medicine The Second Affiliated Hospital of Baotou Medical College Baotou Inner Mongolia P.R. ChinaAbstract The blood pressure (BP) control rate among treated hypertensives in China remains low at 37.5%. The relationship between home blood pressure telemonitoring (HBPT) and BP control is controversial. The authors aimed to investigate the relationship between HBPT and BP control in middle‐aged and elderly hypertensives. In total, 252 hypertension patients aged between 60 and 79 years were enrolled. The patients were given either HBPT through interactive platforms between physicians and patients (telemonitoring group, n = 126) or conventional management (routine management group, n = 126). All patients were followed‐up for 15 months. BP control was defined as home systolic blood pressure < 135 mm Hg and home diastolic blood pressure < 85 mm Hg. At baseline, there were no significant differences in the baseline BP control rate (p = .083). However, after 15 months, the BP control rate improved in both groups, and the telemonitoring group (71.3%) had a significantly higher BP control than the routine management group (49.8%) (p < .001). The change of BP control rate from baseline in the routine management group increased by 26.1%, and that of the telemonitoring group increased by 35.4%. The results of the fully adjusted binary logistic regression showed that HBPT was positively associated with BP control after adjusting for confounders (OR = 4.15, 95% CI 2.05–8.39). Similar results were observed after 3, 9, and 12 months. The association of HBPT with BP control was similar in subgroups. In conclusions, HBPT is recommended for BP control in middle‐aged and elderly hypertensives in the community setting.https://doi.org/10.1111/jch.14341blood pressure monitoringcontrolhypertension in the elderlytelemonitoring |
| spellingShingle | Jianwei Yue Xiaomin Yang Bin Wang Han Hu Haiming Fu Yuxia Gao Gang Sun Home blood pressure telemonitoring for improving blood pressure control in middle‐aged and elderly patients with hypertension The Journal of Clinical Hypertension blood pressure monitoring control hypertension in the elderly telemonitoring |
| title | Home blood pressure telemonitoring for improving blood pressure control in middle‐aged and elderly patients with hypertension |
| title_full | Home blood pressure telemonitoring for improving blood pressure control in middle‐aged and elderly patients with hypertension |
| title_fullStr | Home blood pressure telemonitoring for improving blood pressure control in middle‐aged and elderly patients with hypertension |
| title_full_unstemmed | Home blood pressure telemonitoring for improving blood pressure control in middle‐aged and elderly patients with hypertension |
| title_short | Home blood pressure telemonitoring for improving blood pressure control in middle‐aged and elderly patients with hypertension |
| title_sort | home blood pressure telemonitoring for improving blood pressure control in middle aged and elderly patients with hypertension |
| topic | blood pressure monitoring control hypertension in the elderly telemonitoring |
| url | https://doi.org/10.1111/jch.14341 |
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